​As a health care provider, you are in an ideal position to talk to your patients about weight control since excess weight can lead to diabetes, heart disease and other medical problems. At Medical Metabolic Specialists, we understand that this conversation is not always easy to have but is certainly important.

​Quickly Addressing Weight Problems in Clinic

Rule #1: You don’t have to talk about diet, exercise or life circumstance. Certainly, don’t start there.

Rule #2: Focus on readiness! When the topic of weight arises, think about stages of change.

When they say: I can’t, I won’t, make an excuse, or tell how great their diet is.

 What it means : Pre-contemplation stage of change. They can’t see it or don’t want to look at it.
What you do: Connect their weight or their behaviors to something they care about.

When they say: I might

What it means: Contemplation stage of change. They are on the edge.
What you do: Give a nudge. “Weight loss would really help.”

When they say: I will

What it means: Preparation stage of change
What you do: Ask for a plan and commitment: “How will you do that? When will you start?”

When they say: I am

What it means: Action stage of change. They are doing something.
What you do: Be encouraging. Say something positive. Let them know help is available.

 Rule #3 : Use the right words or they may not hear what you say.

• Talk about “weight,” “excess weight,” or “weight problem.”
• Some will not listen when you say “obese,” “fat,” “heavy,” and others.

Rule #4: Patients and doctors are more effective when thinking of obesity as a disease that afflicts.

• Use patient -centric language “This is a disease.” “Attack the disease and not yourself.” “It is not your fault, but it is your responsibility.” (draw an analogy to asthma)
  
  

This is an important conversation. When they are ready for action, be ready to help. Medical Metabolic Specialists can help you create solutions that work for you, your clinic, and your patients. Give us a call at (970) 980-6024 or send us an email.

A recent study conducted at The University of Pennsylvania points to potential dangers of weight bias internalization. While the results are mixed, there is new evidence to support the association between weight bias internalization and risk for metabolic syndrome.
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Weight bias includes (WBI) pervasive negative stereotypes and prejudice regarding an individual’s overweight, such as attributions of responsibility and/or incompetence. New research suggests that adults with obesity seeking weight-loss treatment, who scored higher on a WBI scale were more likely to have metabolic syndrome compared to those with lower scores.